How to stop sore, itchy chest pain after triple bypass?

Several years ago I had a triple bypass after a heart attack. Unlike most people I suffered considerable chest pain for months afterwards, just under the skin, which I could hardly bear to touch. Even wearing clothes over it was agony.
Gradually it wore off, but frequently it recurs, and now it's back,... show more Several years ago I had a triple bypass after a heart attack. Unlike most people I suffered considerable chest pain for months afterwards, just under the skin, which I could hardly bear to touch. Even wearing clothes over it was agony.
Gradually it wore off, but frequently it recurs, and now it's back, fifteen years later.
Has anyone any ideas what causes it? How to cure it? or even just take away some of the sensitivity?

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Best Answer: I have seen similar issues of very late scar pain following by pass a few times. There is inevitably some pretty extensive disruption of the cutaneous nerves when the chest wall is opened. You end up with a lot of naked nerve endings,no longer attached to the normal skin receptors.When this happens nerves are only capable of transmitting one sensation when they are stimulated,pain.Which I am sure is happening in your case.

Trying to blanket cover over this pain with an opiate, or opiate analogue like fentanyl,would of course be a mistake. There is no point in flooding all your body systems in this way. You would need massive amounts to affect the pain,as fentanyl has little local effect,and you will inevitably get significant systemic side effects. Local lignocaine would reduce both the pain and the sensitivity,but would not solve the problem and might need to be used indefinitely.

On 2 occasions I injected steroid subcutaneously (Depomedrone with Lidocaine) which was reasonably effective in settling the problem down. Another possible option if this was unsuccessful would be a phenol nerve block to permanently destroy the nerves causing the pain. This would however increase the area of skin numbness, ( most patients have an area of this as well anyway)

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You can have keloids which are a result of scarring & can cause itching & pain. Cortisone injections can help. Possibly topical cortisone may work also.
Try Collagen supplements which add suppleness to the skin.
Try Vit. E (400IUs) capsules open them up and rub well into scar.
Seek mout a consult with a dermatologist.

Feel better.

Source(s): medicine.net
www.invitehealth.com 1-800-643-7575 ask to speak to a nutritionist

This sounds like neuropathy,which is difficult to diagnose and treat.
There are many causes of nerve damage and pain.Two that might apply to your case: laceration,narrowing of the spinal column.

I would ask my doc for fentanyl pain patches with the pain medicine being absorbed through the skin.This would not have you overdosed and fuzzy.

Lidocaine patches are also an option.The patches are 10 cm by14 cm. Up to 3 can be placed.Patches are placed for 12 hours on and 12 hours off.

addendum:this question has been up for a week and someone thinks they are brilliant re-wording my answer.
15 years of neuropathy is not going away.Quality of life is an important issue.I place my answers with good intentions. Rock on.Rock on.Rock on.

Hello Mrs. Doubtfire,
May I suggest you discuss the problems you are experiencing with your general practitioner.

I would also like to ask why you use multiple accounts to post questions? The outcome of this particular answer is quite predicable, either you will pick Nellie Bly as best or you will delete the answer.